Vice President, Jackson Care Connect jobs in United States
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CareOregon · 2 hours ago

Vice President, Jackson Care Connect

CareOregon is a not-for-profit health plan dedicated to improving community health through Jackson Care Connect (JCC). The Vice President will execute JCC’s vision and strategic initiatives, ensuring alignment with health improvement plans while managing the CCO board and collaborating with executive leadership.

Health Care
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H1B Sponsor Likelynote

Responsibilities

Collaborate with the JCC Board to develop and establish a clear vision for JCC
Develop organizational policies and position accountabilities that advance JCC’s mission and vision
Ensure JCC’s business initiatives are aligned with the five-year Regional Health Improvement Plan, the annual CCO Strategic Plan, CareOregon’s Strategic Plan, CareOregon’s annual success indicators, the annual OHA contract and the revenue forecasts for the CCO
Guide and collaborate with the JCC Board to develop high-functioning committees and other governance structures, policies and decision frameworks
Collaborate with the CCO Board regarding development and performance of the CCO Executive
Recruit and develop new board members to assure diverse perspectives on the governing board and CCO committees
Develop strategic initiatives and policy updates for Board input and approval, as appropriate
Develop agendas and topics for Board meetings, assuring achievement of Board-identified strategic priorities and emerging Job Description state/regulatory requirements
Develop, manage and report grants and other CCO programs to assure Board oversight of, and agreement with, strategic investments in community- and staff-identified member and community health priorities
Engage the Community Advisory Council in strategic direction of the organization
Provide overall direction to the JCC Leadership Team to develop and implement JCC’s priority initiatives with clinical and non-clinical community partners, CareOregon, the State and other regional stakeholders
Advocate for JCC’s agenda in alignment with the CareOregon CCO model and as an agent of change to transform the health of its members and communities
Establish JCC’s contracts and success indicators with delivery system, community and policymaking partners to shape CCO outcomes consistent with OHA and other regulatory requirements
Represent JCC with Oregon Health Authority, Oregon Health Policy Board and in other state policy venues
Enhance stakeholder partnerships to expand JCC’s advocacy on legislative policy issues and the future direction of Oregon’s Medicaid programs
Provide oversight of CareOregon staff operating according to the Delegation Agreement and Management Services Agreement between CareOregon and the CCO
Guide and collaborate with the CCO Board to establish mechanisms and policies for performance oversight of operations and initiatives in support of the Delegation Agreement and Management Services Agreement between CareOregon and the CCO
Establish and effectively execute both short-term and long-term operational strategies to achieve JCC’s objectives as documented in the annual CCO Strategic Plan
Lead, guide, mentor staff (both direct and matrixed reports) to the highest levels of contribution and performance consistent with CCO operational efficiency and effectiveness
Engage the organization and participate in continuous quality improvement initiatives, events and programs
In partnership with CareOregon leadership, assure excellent service to members as measured by objective satisfaction surveys
Oversee the development and implementation of a Community Health Improvement Plan
Contribute to and monitor Value-Based Payment (VBP) contracts and other payment programs with individual regional clinics/clinic systems that support equitable and high-quality clinical outcomes
Work with CareOregon leaders to establish and maintain fiscal policies, reporting and monitoring mechanisms, in collaboration with CareOregon leaders for sustainable CCO financial performance on an annual basis and over time
Assure JCC’s proactive response to legislative and regulatory issues related to rate-setting, utilization and trend data to ensure appropriate revenue and long-term financial stability
Develop and manage annual budgets in alignment with strategic planning and organizational priorities
Ensure teams have sufficient resources to achieve the necessary performance targets and results
Establish organizational policies and initiatives to maximize achievement of CCO quality metrics and risk recapture by clinical partners
Ensure that JCC’s long term strategy is in alignment with federal initiatives and policies
Direct team(s) and establish team direction and goals in alignment with the organizational mission, vision, and values. Identify work and staffing models; recruit, hire, and oversee a team to meet work needs, using an equity, diversity, and inclusion lens
Identify department priorities; ensure employees have information and resources to meet job expectations. Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff
Manage, coach, motivate, and guide employees; promote employee development. Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making
Ensure team adheres to department and organizational standards, policies, and procedures
Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action)
Perform supervisory tasks in collaboration with Human Resources as needed

Qualification

Medicaid experienceHealth care policyManaged careGovernance knowledgeBudget managementPublic speakingAnalytical skillsTeam leadershipRelationship buildingCommunication skillsProblem-solving

Required

Minimum 10 years' experience developing, managing, or influencing managed care, health care policy or programs
Minimum of 5 years of Medicaid experience in a health plan or public agency setting
Knowledge of state and federal Medicaid managed care program contractual requirements, regulations and statutes, including Oregon Health Plan health care laws and regulations
Understanding of the nature of governance; board obligations, responsibilities, roles, and duties; governance/director best practices
Understanding of healthcare industry structure/dynamics Understanding of health plan financing, health care costs, health outcome measures such as HEDIS and CAHPS, and health plan operations, such as claims payment, customer service, medical management, and quality improvement
Understanding of Jackson Care Connect, including its market, vision/mission, strategies, management, operations, and financial structure
Ability to build and strengthen relationships and a culture of trust
Ability to obtain and retain knowledge of government regulations as they relate to the administration of the Medicaid program
Ability to obtain and retain knowledge of the principles and practices of managed care and Coordinated Care Organizations
Ability to obtain and retain knowledge of plan benefits, the Prioritized List, systems and procedures, changes in Medicaid guidelines and regulations, changes in the health care services, changes in the legal/legislative arena that impact operations
Ability to obtain and retain knowledge of health care public policy issues
Comprehensive program planning and development, management, and evaluation skills
Ability to manage multiple tasks and coordinate work across multiple systems
Ability to work in a cooperative, informative, and proactive manner with the Oregon Health Authority, state legislators and Oregon's Congressional delegation
Excellent research, writing, listening and verbal communication skills
Strong analytical and creative problem-solving skills
Effective public speaking/presentation skills
Ability to negotiate favorable outcomes, and build consensus
Budget management skills
A service orientation in working with the board chair, board committee chairs and directors
Willingness/ability to occasionally work irregular hours (e.g., evening meetings and weekend activities)
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to hear and speak clearly for at least 3-6 hours/day
Ability to operate a motor vehicle

Preferred

Minimum 5 years' experience in a supervisory position
Experience working in a highly matrixed organization and with external partners in complex collaborative structures or organizations
Master's or bachelor's degree in health policy, public health, health care administration, business administration, law, or related field

Benefits

Medical
Dental
Vision
Life
AD&D
Disability insurance
Health savings account
Flexible spending account(s)
Lifestyle spending account
Employee assistance program
Wellness program
Discounts
Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.)
Strong retirement plan with employer contributions
PTO
Paid State Sick Time
Paid holidays
Volunteer time
Jury duty
Bereavement leave

Company

CareOregon

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Everyone deserves great health care.

H1B Sponsorship

CareOregon has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (10)
2023 (3)
2022 (6)
2021 (3)
2020 (2)

Funding

Current Stage
Late Stage

Leadership Team

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Eric C. Hunter
President and Chief Executive Officer
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Amy Dowd
COO
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Company data provided by crunchbase